Active NPI
Tammy Roesler MD PC
Doing business as Pinecone Pediatrics
- Pediatrics Physician
- Reno, NV
National Provider Identifier
1437528825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TAMMY ROESLER MD PC
- Doing business as
- Pinecone Pediatrics
- Practice address
- 3725 Lakeside Dr
Reno, NV 89509-5239 - Phone
- (775) 737-4707
- NPI assigned
- Sep 16, 2015
- Last updated
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammera McHenry
- Title
- Office Manager
- Phone
- (775) 737-4707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
3725 Lakeside Dr
Reno, NV 89509-5239
Mailing address
3725 Lakeside Dr
Reno, NV 89509-5239
Phone (775) 737-4707
Other names 1
- Pinecone Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2063248 | Pinecone Pediatrics | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
3725 Lakeside Dr
Reno, NV 89509
Phone (775) 737-4707
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Nurse Practitioner
- Reno, NV
- NPI 1679870745
-
- Pediatrics Physician
- Reno, NV
- NPI 1114142494
-
- Pediatrics Physician
- Reno, NV
- NPI 1215121488
-
- Family Nurse Practitioner
- Reno, NV
- NPI 1407366396
-
- Pediatrics Physician
- Tucson, AZ
- NPI 1972066892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1437528825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 LAKESIDE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895095239",
"telephone_number": "775-737-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 LAKESIDE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895095239",
"telephone_number": "775-737-4707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMMY ROESLER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-16",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "MCHENRY",
"authorized_official_first_name": "TAMMERA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "775-737-4707"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinecone Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinecone Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.